Table 1.
Area | Key question |
---|---|
Indications | KQ1. What is the indication for PEG? |
Periprocedural use of prophylactic antibiotics | KQ 2. Should prophylactic antibiotics be administered to patients undergoing PEG using the pull or the push method? |
Timing of initiating enteral nutrition | KQ 3. Should enteral feeding be started early after the PEG tube placement? |
PEG technique | KQ 4. Should the push or pull method be used for patients undergoing PEG for the first time? |
KQ 4-1. Should the push or pull method be used in patients without esophageal cancer or head and neck cancer who are undergoing PEG for the first time? | |
KQ 4-2. Should the push or pull method be used in patients with esophageal cancer or head and neck cancer who are undergoing PEG for the first time? | |
Complications | KQ 5. Should the PEG tube be removed in patients with persistent peristomal leakage? |
KQ 6. Should the PEG tube be replaced in cases of tubebreakage, occlusion, dislodgement, or degradation? | |
KQ 7. Does loosening the external fixation device and adjusting the PEG tube help prevent BBS? | |
KQ 8. Is endoscopic PEG tube removal effective in patients with BBS? | |
Feeding tube change and removal | KQ 9. When should the PEG tube be replaced in patients requiring chronic enteral nutrition? |
KQ 10. Is the cut-and-push technique appropriate for the removal of internal bolster-type PEG tubes? |
KQ, key question; PEG, percutaneous endoscopic gastrostomy; BBS, buried bumper syndrome.